| NPI | 1518534205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0021150) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2024-08-16 |